Premium
Surgical outcomes of hepatocellular carcinoma originating from caudate lobe
Author(s) -
Zhou Yanming,
Zhang Xiaofeng,
Wu Lupeng,
Xu Donghui,
Li Bin
Publication year - 2013
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2012.06232.x
Subject(s) - medicine , caudate lobe , hepatocellular carcinoma , surgery , resection , hepatectomy , surgical resection , carcinoma , occlusion , blood loss
Background Caudate resection for hepatocellular carcinoma ( HCC ) remains a challenging procedure. This study aimed to assess the surgical outcomes of HCC originating from caudate lobe. Methods Twenty‐three patients with HCC in the caudate lobe who received surgical treatment were retrospectively reviewed. Results Surgical procedures included 13 isolated caudatectomy (56.5%) and 10 combined caudatectomy (43.5%). Eight patients (34.7%) experienced post‐operative complications. Mortality was nil. The 1‐, 3‐ and 5‐year overall survival rates after surgery were 90.1%, 60% and 37%, respectively. Isolated caudatectomy was associated with less frequent tumours located in paracaval portion, longer operative time, longer vascular occlusion time and more blood loss than combined caudatectomy ( P < 0.05). Conclusion Surgical resection is feasible and beneficial for patients with HCC in the caudate lobe. If liver functional reserve is sufficient, combined caudatectomy is preferred.